ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?
Correct Answer: C
Rationale: Black tags are for clients with likely fatal injuries, like 72% full-thickness burns, prioritizing resources. Green is for minor injuries, yellow for stable but delayed care, and red for critical but survivable cases.
Question 2 of 5
A nurse is reviewing client charts to collect data on the number of urinary catheters that were removed within 48 hours of surgery. This collection of information demonstrates which of the following processes?
Correct Answer: C
Rationale: An outcome audit evaluates care results, like timely catheter removal to prevent complications. Structure audits assess resources, benchmarking compares to standards, and process audits evaluate methods.
Question 3 of 5
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?
Correct Answer: D
Rationale: A compromised airway is an immediate, life-threatening condition requiring urgent intervention, warranting a red tag. Brief loss of consciousness suggests a yellow tag, fixed pupils indicate a black tag due to likely fatal neurological damage, and extensive burns may warrant a yellow or black tag due to resource allocation in mass casualty events.
Question 4 of 5
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
Correct Answer: A
Rationale: Assistance with dressing indicates a need for occupational therapy to support daily living activities. Swallowing and dysarthria are managed by speech therapy, and new medications are unrelated.
Extract:
Exhibit 1
Client 1
Day 1:
Reports pain and stiffness in joints.
Day 2:
Diagnosed with Lyme disease.
Exhibit 2
Client 2
0800:
History of IV substance use disorder. Reports abdominal pain, muscle and joint stiffness, and fatigue.
1600:
Diagnosed with acute hepatitis C.
Exhibit 3
Client 3
History and Physical: Client was taking PO
amoxicillin/clavulanate for a respiratory tract infection. Antibiotics completed 7 days ago.
Day 1:
4
Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools/day.
Day 2:
Diagnosed with Clostridium difficile.
Exhibit 4
0700
Client reports headache, abdominal pain, nausea, and diarrhea.
1200:
Diagnosed with salmonellosis.
Exhibit 5
Client 5
0800:
Reports sore throat, headache, and fatigue. Tonsils inflamed and reddened. Cervical lymph nodes swollen.
1200:
Diagnosed with Streptococcal pharyngitis.
Exhibit 6
Client 6
0700:
Client reports cough with inspiratory "whoop" over the past 2 weeks.
1500:
Diagnosed with pertussis.
Question 5 of 5
An infectious disease nurse is reviewing electronic medical records on a group of clients. Select the 4 clients whose diagnosis should be reported to the health department.
Correct Answer: A,B,D,F
Rationale: Lyme disease (Client 1), hepatitis C (Client 2), salmonellosis (Client 4), and pertussis (Client 6) are reportable due to public health risks. C. difficile and streptococcal pharyngitis are not typically reportable.